<form action="https://secure.authorize.net/gateway/transact.dll" method="post">
  <input type="hidden" name="x_login" value="{{ x_login }}"/> <input type="hidden" name="x_fp_sequence" value="{{ x_fp_sequence }}"/> <input type="hidden" name="x_fp_timestamp" value="{{ x_fp_timestamp }}"/> <input type="hidden" name="x_amount" value="{{ x_amount }}"/> <input type="hidden" name="x_fp_hash" value="{{ x_fp_hash }}"/> <input type="hidden" name="x_show_form" value="{{ x_show_form }}"/>
  {% if x_test_request %}
    <input type="hidden" name="x_test_request" value="{{ x_test_request }}"/>
  {% endif %}
  <input type="hidden" name="x_type" value="{{ x_type }}"/> <input type="hidden" name="x_currency_code" value="{{ x_currency_code }}"/> <input type="hidden" name="x_invoice_num" value="{{ x_invoice_num }}"/> <input type="hidden" name="x_description" value="{{ x_description }}"/> <input type="hidden" name="x_first_name" value="{{ x_first_name }}"/> <input type="hidden" name="x_last_name" value="{{ x_last_name }}"/> <input type="hidden" name="x_company" value="{{ x_company }}"/> <input type="hidden" name="x_address" value="{{ x_address }}"/> <input type="hidden" name="x_city" value="{{ x_city }}"/> <input type="hidden" name="x_state" value="{{ x_state }}"/> <input type="hidden" name="x_zip" value="{{ x_zip }}"/> <input type="hidden" name="x_country" value="{{ x_country }}"/> <input type="hidden" name="x_phone" value="{{ x_phone }}"/> <input type="hidden" name="x_ship_to_first_name" value="{{ x_ship_to_first_name }}"/>
  <input type="hidden" name="x_ship_to_last_name" value="{{ x_ship_to_last_name }}"/> <input type="hidden" name="x_ship_to_company" value="{{ x_ship_to_company }}"/> <input type="hidden" name="x_ship_to_address" value="{{ x_ship_to_address }}"/> <input type="hidden" name="x_ship_to_city" value="{{ x_ship_to_city }}"/> <input type="hidden" name="x_ship_to_state" value="{{ x_ship_to_state }}"/> <input type="hidden" name="x_ship_to_zip" value="{{ x_ship_to_zip }}"/> <input type="hidden" name="x_ship_to_country" value="{{ x_ship_to_country }}"/> <input type="hidden" name="x_customer_ip" value="{{ x_customer_ip }}"/> <input type="hidden" name="x_email" value="{{ x_email }}"/> <input type="hidden" name="x_relay_response" value="{{ x_relay_response }}"/> <input type="hidden" name="x_solution_id" value="A1000015"/>
  <div class="d-inline-block pt-2 pd-2 w-100">
    <div class="float-right">
      <button type="submit" class="btn btn-primary">{{ button_confirm }}</button>
    </div>
  </div>
</form>
